Healthcare Provider Details

I. General information

NPI: 1649076704
Provider Name (Legal Business Name): SACHI ZAVALETA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/20/2025
Last Update Date: 02/20/2025
Certification Date: 02/20/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

44020 CHOPTANK TER
ASHBURN VA
20147-3943
US

IV. Provider business mailing address

44020 CHOPTANK TER
ASHBURN VA
20147-3943
US

V. Phone/Fax

Practice location:
  • Phone: 571-276-4031
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code374U00000X
TaxonomyHome Health Aide
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: